Youth and Family Counseling

It’s not easy being a kid these days.

Growing up comes with challenges. Children and teens may experience emotional, behavioral, social, or substance use concerns that affect life at home, at school, or in the community.

Sometimes it can be difficult to know when a child needs additional support. If changes in mood, behavior, relationships, or daily functioning are becoming difficult to manage or are not improving, it may be time to reach out for help.

Our Youth & Family Services team works with youth and families throughout Columbia County to provide support, build skills, and connect families with services that meet their needs.

No one will be denied access to services due to inability to pay. CCMH offers a discounted/sliding fee schedule based on family size and income for Oregon residents.

Getting help early can make a difference.

Early support can help children and teens develop healthy coping skills, strengthen relationships, and address concerns before they become more difficult to manage.

Some signs that additional support may be helpful include:

  • Difficulty sleeping
  • Persistent anxiety or worry
  • Unexplained aggression
  • Social isolation
  • Alcohol or drug misuse
  • Self-harm
  • Sudden emotional or behavioral changes
  • Significant changes in school performance, relationships, or daily activities

If you are concerned about your child, you do not have to figure out what type of service they need on your own. Our team can help identify appropriate supports and next steps.


Youth Outpatient Services

Youth outpatient services provide structured, non-residential mental health treatment for children and adolescents experiencing emotional, behavioral, or substance use challenges.

Services may include:

  • Individual counseling
  • Family counseling
  • Group therapy
  • Medication management
  • Skills training
  • Peer support

Where Services Happen

Support does not always have to happen in a traditional office setting. Depending on the service and the needs of the youth and family, services may be provided in:

  • Clinic settings
  • Schools
  • The community
  • Telehealth

Our team works closely with youth, families, schools, providers, and community partners to help coordinate care and connect families with the support they need.


Skills Training

Skills trainers work with youth and families to build practical tools for everyday life.

Skills training may include:

  • Emotional regulation
  • Communication skills
  • Social skills
  • Self-care and hygiene
  • Co-regulation strategies for families

Peer Support

Peer support specialists help youth and families navigate resources and connect with additional supports in the community.

Support may include connections to:

  • Housing supports
  • Food and utility assistance
  • Community programs
  • Recovery support services

Care Coordination & Family Support

Our team works closely with families, schools, and community partners to coordinate care and help ensure youth receive the support they need.

Services may include:

  • Care coordination between providers
  • Parent peer support
  • Connection to community resources
  • Help navigating systems and services

Our approach is trauma-informed, family-centered, and collaborative.

Programs & Supports

Our department includes a range of programs designed to meet youth and families where they are. Each program offers different levels of support based on a youth’s needs.

Programs include:

  • Wraparound Services
  • Intensive In-Home Behavioral Health Treatment (IIBHT)
  • Early Assessment and Support Alliance (EASA)
  • School-Based Services
  • Youth Peer Support
  • Skills Training
  • Medication Management

Getting Started

Families can begin services by completing a youth mental health assessment. Assessments may be scheduled or completed through our walk-in clinic.

Youth Mental Health Assessment (17 and under)

  • Mondays: 9:00am-11:00am (check in at 8:00am)
  • Thursdays: 3:00pm-5:00pm (check in at 2:00pm)

Youth Substance Use Disorder Assessment (17 and under)

  • Mondays & Tuesdays: 2:00pm-4:00pm (check in at 1:00pm)
  • Thursdays: 9:00am-1:00pm (check in at 8:00am)

For more information or to get started, call 503-397-7919.

No one plans for a crisis; they
happen, and we are here to
help you.

We have trained professionals standing by to assist you or someone you know. Please call us, anytime of the day or night.

Phone or community based crisis support available at:
Crisis winding road

Report Abuse

*If at any time you feel an individual is being hurt or is in
immediate danger, please call 911

Child Abuse

To Report child abuse,

Contact Us:

Report child abuse to the Oregon Child Abuse Hotline by calling 855-503-7233 .The Oregon Child Abuse Hotline receives calls 24 hours a day, 7 days a week, 365 days a year.

This toll free number allows you to report abuse of any child or adult to the Oregon Department of Human Services. You can also report child abuse by calling a local police department, county sheriff, county juvenile department, or Oregon State Police.

Abuse of an adult

Abuse of an Adult,

Contact Us:

To report the abuse of an adult please contact our Adult Abuse Investigator at (503) 438-2195

Hope and Healing Begin Today

Columbia Community Mental Health is a
non-profit agency dedicated to excellence in behavioral healthcare.

This moment right now might be difficult, but there’s a lifetime of better moments to
look forward to. It takes courage to ask for help – and sometimes the
problem isn’t always clear.

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